Provider Demographics
NPI:1235249210
Name:SHPRITZ, BARNETT (OD)
Entity Type:Individual
Prefix:
First Name:BARNETT
Middle Name:
Last Name:SHPRITZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 OLD POST DR APT 6
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3207
Mailing Address - Country:US
Mailing Address - Phone:410-486-0288
Mailing Address - Fax:
Practice Address - Street 1:15 TEXAS STATION CT
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-8263
Practice Address - Country:US
Practice Address - Phone:410-628-7278
Practice Address - Fax:410-628-6512
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1632152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist